Individual
RICHARD YEE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9097 E DESERT COVE AVE, SUITE 240, SCOTTSDALE, AZ 85260-6279
(480) 661-6541
Mailing address
9097 E DESERT COVE AVE, SUITE 240, SCOTTSDALE, AZ 85260-6279
(480) 661-6541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D009285
AZ
1223G0001X
General Practice Dentistry
D009285
AZ
1223P0700X
Prosthodontics
Primary
D009285
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D009285
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P01198325
RAILROAD MEDICARE
MN
Enumeration date
06/01/2011
Last updated
03/30/2017
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